| NPI | 1376826321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTWAINE DARNELL CLAYTON Psychosocial Rehabilitation Special 405-274-3025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |